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Maternal Posttraumatic Stress Disorder and Infant Developmental Outcomes in a South African Birth Cohort Study

机译:南非出生队列研究中的母体术前应激障碍和婴儿发育成果

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Objective: To investigate the association between maternal posttraumatic stress disorder (PTSD) and infant development in a South African birth cohort. Method: Data from the Drakenstein Child Health Study were analyzed. Maternal psychopathology was assessed using self-report and clinicianadministered interviews; and 6-month infant development using the Bayley III Scales of Infant Development. Linear regression analyses explored associations between predictor and outcome variables. Results: Data from 111 mothers and 112 infants (1 set of twins) were included. Most mothers (72%) reported lifetime trauma exposure; the lifetime prevalence of PTSD was 20%. Maternal PTSD was significantly associated with poorer fine motor and adaptive behavior-motor development; the latter remaining significant when adjusted for site, alcohol dependence, and infant head-circumference-for-age z score at birth. Conclusion: Maternal PTSD may be associated with impaired infant neurodevelopment. Further work in low-and middle-income populations may improve early childhood development in this context.
机译:目的:探讨母亲创宫应激障碍(PTSD)与南非出生队队的婴儿发展的关联。方法:分析了Drakenstein儿童健康研究的数据。使用自我报告和ClinicianAdministered访谈评估母体精神病理学;和6个月的婴儿开发使用拜访III级别的婴儿开发。线性回归分析预测器和结果变量之间的探索关联。结果:包括111名母亲和112名婴儿(1套双胞胎)的数据。大多数母亲(72%)报告终身创伤曝光; PTSD的寿命患病率为20%。母版PTSD与较差的精细电机和自适应行为电机开发显着相关;后者在出生时调整出现场,酒精依赖性和婴儿头周长Z分数时仍然显着。结论:母亲应激障碍可能与婴幼儿神经发育受损有关。在低收入和中等收入人口中的进一步工作可能会在这种背景下改善幼儿发展。

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